Individual
COURTNEY CASSINELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
400 HIGHWAY 64 E, AUGUSTA, AR 72006-5150
(870) 347-2508
(870) 347-5556
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A005713
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
228826758
—
AR
Enumeration date
06/28/2018
Last updated
07/12/2019
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